Individual
EDWARD DOVLATYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 FARRAND ST, BLOOMFIELD, NJ 07003-4397
(973) 878-4927
Mailing address
111 TOWN SQUARE PL STE 1238, JERSEY CITY, NJ 07310-1810
(973) 878-4927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW-GTL-20-01166
NJ
1041C0700X
Clinical Social Worker
098408-01
NY
1041C0700X
Clinical Social Worker
Primary
44SC06272600
NJ
Other
Enumeration date
11/03/2020
Last updated
03/10/2026
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